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Assessment and Communication for People with Disorders of Consciousness
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当一个性能有效性测试失败时,表明神经心理反应无效
Laurence M Binder1,2, Philip K Martin3, Ryan W Schroeder3,4,5
1Independent Practice, Beaverton, OR, USA.
The Clinical neuropsychologist
|October 6, 2025
概括
神经心理学通常需要两个性能有效性测试 (PVT) 失败才能认为答案无效. 然而,失败的Test of Memory Malingering (TOMM),特别是特定的分数,可能是足够的证据本身的无效.
科学领域:
- 神经心理学 神经心理学
- 法医心理学 法医心理学
- 心理评估 心理评估
背景情况:
- 神经心理学的标准指导方针表明,为了确定响应无效性,需要两个性能有效性测试 (PVT) 的失败.
- 本研究探讨了对这一规则的潜在例外,考虑到使用的特定PVT和性能缺陷的严重性.
研究的目的:
- 确定单个PVT上的故障是否可以作为响应无效的充分证据.
- 检查不同PVT上的故障之间的关系,特别是内存恶意测试 (TOMM) 和可靠数字间隔 (RDS) 的测试.
- 评估TOMM或RDS上的特定故障值是否预测了额外的PVT故障.
主要方法:
- 261名成年参与者完成了包括4-12个PVT在内的神经心理测试电池,其中始终包括TOMM和RDS.
- 进行了统计分析,以评估单个PVT的故障之间的关联.
- 分析了TOMM,RDS和其他PVT之间的故障率和故障一致性.
主要成果:
- 16.5%的人没有通过TOMM,其中97.7%的人也没有通过另一项PVT.
- 14.2%的人没有通过RDS,其中75.7%的人也没有通过另一项PVT.
- 试验2或保留<43的TOMM分数表明至少在另一个PVT上100%失败,这表明有足够的无效证据.
结论:
- 虽然建议使用多个PVT,但TOMM故障,特别是在特定的得分值,可能足以确定当多个PVT无法使用时的响应无效性.
- 需要进一步的研究来验证这些发现在不同的PVT和人群中.
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